Individual
SHANNON KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
996 FISCHER BLVD, TOMS RIVER, NJ 08753-3843
(732) 310-6861
Mailing address
996 FISCHER BLVD, TOMS RIVER, NJ 08753-3843
(732) 310-6861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-244138
NJ
Other
Enumeration date
01/19/2023
Last updated
10/02/2024
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